| NPI | 1912665274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY LOPEZ Psychologist Clinical 787-560-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-08-29 |